Organization Active NPI

Giles D. Rainwater PHD, PA

  • Clinical Neuropsychologist
  • Melbourne, FL
National Provider Identifier
1902108715
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
GILES D. RAINWATER PHD, PA
Practice address
2210 Front St Ste 208
Melbourne, FL 32901-7506
Phone
(321) 729-0080
Fax
(321) 574-3816
NPI assigned
Nov 30, 2010
Last updated
Feb 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Giles Dean Rainwater, PHDNPI 1437254901
Title
President
Phone
(321) 729-0080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

2210 Front St Ste 208
Melbourne, FL 32901-7506

Mailing address

2210 Front St Ste 208
Melbourne, FL 32901-7506
Phone (321) 729-0080

National Provider Directory

National Provider Directory

Locations

2210 Front St
Ste 208
Melbourne, FL 32901
Phone (321) 729-0080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1902108715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 FRONT ST STE 208",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017506",
            "telephone_number": "321-729-0080",
            "fax_number": "321-574-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 FRONT ST STE 208",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017506",
            "telephone_number": "321-729-0080",
            "fax_number": "321-574-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILES D. RAINWATER PHD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "RAINWATER",
        "authorized_official_first_name": "GILES",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-729-0080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.